510(k) Report

510(k) · Cleared

Cleared

BiWaze Cough

K191912510(k) TraditionalCleared Mar 27, 2020254-day reviewClass II21 CFR 868.5905

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Abmrc, LLC · NHJ Device, Positive Pressure Breathing, Intermittent

Cleared on Mar 27, 2020 as substantially equivalent to K121955 (Respironics, Inc., 2012) after a 254-day review. Its family tree reaches back 3 generations to 2000.

Decided
Mar 27, 2020
Review
254 days
Class
Class II
Product code
NHJ
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K002598 (2000). No later device cites it as a predicate yet.

  1. Root · 3 generations backK002598 Emerson Cough Assist Model CA-3000 W/Automatic Timing and Model…J. H. Emerson Co. · 2000
  2. 2 generations backK072292 Negavent Plus Pegaso Cough, Model: DA-3 PlusDima Italia Srl · 2008
  3. 1 generation backK121955 Coughassist T70 DeviceRespironics, Inc. · 2012
  4. This deviceK191912 BiWaze CoughAbmrc, LLC · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K002598Emerson Cough Assist Model CA-3000 W/Automatic Timing and Model CM-3000…J. H. Emerson Co.2000—
−2K072292Negavent Plus Pegaso Cough, Model: DA-3 PlusDima Italia Srl2008—
−1K121955Coughassist T70 DeviceRespironics, Inc.2012—
0 (this device)K191912BiWaze CoughAbmrc, LLC2020—
FIG. 1 — Lineage of K191912, 2000–2020Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in NHJ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NHJ device

  1. #1 K260604 BiWaze Clear Systemscore 14.0 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K121955Coughassist T70 Device
Summary page 4
…lator (IPPB) Classification: Class II Predicate Device: Philips Respironics Cough Assist T70 K121955 Reference Devices: Pegaso Cough K140598…
Respironics, Inc.2012—
†K140598Pegaso Cough, Pegaso a-Cough, Pegaso a-Cough PercDima Italia Srl2014—
†K132988Vital CoughLung Assist, Inc.2014—

Also cleared against K121955: 5 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 20 years and passes through 4 companies; a new generation was cleared every 7.1 years on median.
  • None of the 3 ancestors has a recall.
  • 5 other devices also cite its predicate K121955.

How does its category compare?

All NHJ devices

NHJ Device, Positive Pressure Breathing, Intermittent: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · NHJ

1in 2025

2008: 12012: 22013: 22014: 32016: 12020: 32022: 12024: 12025: 12026 (partial year): 2
2007high 3 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHJ

190in 2020

2014: 207 days median2020: 190 days median
2007high 207 (2014) · low 190 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NHJ

11so far in 2026, the most since 2007

2024: 1, 1 Class I2026 (partial year): 11, 4 Class I
2007high 11 (2026) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · NHJ

35in 2025

2007: 162008: 72009: 12010: 22012: 22013: 22014: 12015: 22016: 22017: 62018: 22019: 12020: 32021: 52022: 62023: 172024: 402025: 35
2007high 40 (2024) · low 0 (2011)2025

MAUDE reports naming product code NHJ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—016
20081—07
20090—01
20100—02
20110—00
20122—02
20132—02
2014320701
20150—02
20161—02
20170—06
20180—02
20190—01
2020319003
20210—05
20221—06
20230—017
20241—1 (1)40
20251—035
20262—11 (4)—

What is it indicated for?

This device is designed for use on patients unable to cough or clear secretions effectively due to reduced peak cough exspiratory flow, resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease. It may be used either with a facemask, mouthpiece, or an adapter to a patient's endotracheal tube or tracheostomy tube. For use in hospital, institutional setting, or at home. For use on adult patients and pediatric patients 3 years old and up.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191912: BiWaze Cough.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191912

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026